NPI | 1457844482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209029428) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11370) |
Enumeration Date | 2018-06-13 |
Last Update Date | 2024-09-09 |